Evidence map›Paper›PMID 39285040›Full record

ArticleSurgical endoscopy2024

A calculator for musculoskeletal injuries prediction in surgeons: a machine learning approach.

Luis Sánchez-Guillén, Carlos Lozano-Quijada, Álvaro Soler-Silva, Sergio Hernández-Sánchez, Xavier Barber, José V Toledo-Marhuenda, Francisco López-Rodríguez-Arias, Emilio J Poveda-Pagán, César González Mora, Antonio Arroyo

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In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Luis Sánchez-GuillénGeneral and Gastrointestinal Surgery Department, University General Hospital of Elche, Miguel Hernández University, 11 Almazara Street, 03203, Elche, Alicante, Spain.ORCID 0000-0003-0623-9074
Carlos Lozano-QuijadaPhysiotherapy, Pathology and Surgery Department, Translational Research Center, INTRAFIS Research Group, Miguel Hernández University of Elche, Avenue of the University of Elx, S/N, 03202, Elche, Alicante, Spain. clozano@umh.es.ORCID 0000-0001-9841-3118
Álvaro Soler-SilvaGeneral and Gastrointestinal Surgery Department, University General Hospital of Elche, Miguel Hernández University, 11 Almazara Street, 03203, Elche, Alicante, Spain.
Sergio Hernández-SánchezPhysiotherapy, Pathology and Surgery Department, Translational Research Center, INTRAFIS Research Group, Miguel Hernández University of Elche, Avenue of the University of Elx, S/N, 03202, Elche, Alicante, Spain.
Xavier BarberOperations Research Center, Miguel Hernández University of Elche, Avenue of the University of Elx, S/N, 03202, Elche, Alicante, Spain.
José V Toledo-MarhuendaPhysiotherapy, Pathology and Surgery Department, Translational Research Center, INTRAFIS Research Group, Miguel Hernández University of Elche, Avenue of the University of Elx, S/N, 03202, Elche, Alicante, Spain.
Francisco López-Rodríguez-AriasGeneral and Gastrointestinal Surgery Department, University General Hospital of Elche, Miguel Hernández University, 11 Almazara Street, 03203, Elche, Alicante, Spain.
Emilio J Poveda-PagánPhysiotherapy, Pathology and Surgery Department, Translational Research Center, INTRAFIS Research Group, Miguel Hernández University of Elche, Avenue of the University of Elx, S/N, 03202, Elche, Alicante, Spain.
César González MoraDepartment of Computer Science, University of Alicante, San Vicente del Raspeig Street, S/N, 03690, Alicante, Spain.
Antonio ArroyoGeneral and Gastrointestinal Surgery Department, University General Hospital of Elche, Miguel Hernández University, 11 Almazara Street, 03203, Elche, Alicante, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical specialists experience significant musculoskeletal strain as a consequence of their profession, a domain within the healthcare system often recognized for the pronounced impact of such issues. The aim of this study is to calculate the risk of presenting musculoskeletal injuries in surgeons after surgical practice.

methodsCross-sectional study carried out using an online form (12/2021-03/2022) aimed at members of the Spanish Association of Surgeons. Demographic variables on physical and professional activity were recorded, as well as musculoskeletal pain (MSP) associated with surgical activity. Univariate and multivariate analysis were conducted to identify risk factors associated with the development of MSP based on personalized surgical activity. To achieve this, a risk algorithm was computed and an online machine learning calculator was created to predict them. Physiotherapeutic recommendations were generated to address and alleviate each MSP.

resultsA total of 651 surgeons (112 trainees, 539 specialists). 90.6% reported MSP related to surgical practice, 60% needed any therapeutic measure and 11.7% required a medical leave. In the long term, MSP was most common in the cervical and lumbar regions (52.4, 58.5%, respectively). Statistically significant risk factors (OR CI 95%) were for trunk pain, long interventions without breaks (3.02, 1.65-5.54). Obesity, indicated by BMI, to lumbar pain (4.36, 1.84-12.1), while an inappropriate laparoscopic screen location was associated with cervical and trunk pain (1.95, 1.28-2.98 and 2.16, 1.37-3.44, respectively). A predictive model and an online calculator were developed to assess MSP risk. Furthermore, a need for enhanced ergonomics training was identified by 89.6% of surgeons.

conclusionsThe prevalence of MSP among surgeons is a prevalent but often overlooked health concern. Implementing a risk calculator could enable tailored prevention strategies, addressing modifiable factors like ergonomics.

Indexed as

Machine LearningSurgeonsAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedMusculoskeletal PainOccupational DiseasesOccupational InjuriesRisk AssessmentRisk FactorsSpainErgonomicsMusculoskeletal painRisk assessmentSelf-careSurgeonsSurgical procedures

Identifiers

PMID39285040
PMCPMC11525384

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.